Individual
GRANT ALAN KOZENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4311
(336) 716-7595
Mailing address
2201 E GLENROSA AVE, PHOENIX, AZ 85016-6124
(630) 415-6372
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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